Atrial flutter in a pediatric patient in the immediate period after the Fontan procedure: control with oral propafenone.
A 2-year-old male underwent Fontan procedure as the third stage palliative repair for hypolastic left heart syndrome. On postoperative day number 15, he developed atrial flutter unresponsive to multiple attempts at cardioversion and therapeutic levels of digoxin and procainamide. Oral propafenone was administered and within 6 hours no further arrhythmias or side effects were noted. This case suggests that oral propafenone can be used with efficacy for the treatment of atrial flutter encountered in the immediate postoperative period following the Fontan procedure.
Herzberg
G Z
GZ
Department of Pediatrics, Mount Sinai Medical Center, New York, New York 10029-6574, USA.
Rossi
A F
AF
D000284:Administration, Oral; D000889:Anti-Arrhythmia Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D001282:Atrial Flutter / Q000188:drug therapy* / Q000209:etiology; D002675:Child, Preschool; D004562:Electrocardiography; D005500:Follow-Up Studies; D018729:Fontan Procedure / Q000009:adverse effects*; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000601:surgery; D008297:Male; D011405:Propafenone / Q000008:administration & dosage / Q000627:therapeutic use*
D000889:Anti-Arrhythmia Agents; D011405:Propafenone